| NPI | 1952765661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MA 11211) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: RI PS01471) |
| 103T00000X Psychologist (Licence: RI PS01471) | |
| 103TC0700X Psychologist, Clinical (Licence: RI PS01471) | |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2022-08-31 |